Vitievsky, Alexander M

Vitievsky, Alexander M is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vitievsky, Alexander M can be contacted via phone (201) 833-3223.

Contact Information

Primary practice address
718 Teaneck Rd Teaneck NJ 07666-4245
Fax: (201) 833-7090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA07249700 New Jersey

Profile Details

NPI number 1447250303
LBN Legal business name Vitievsky, Alexander M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447250303 NPPES
New Jersey MEDICAID 8550905

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